WO2007075114A1 - Compresseur-distracteur - Google Patents
Compresseur-distracteur Download PDFInfo
- Publication number
- WO2007075114A1 WO2007075114A1 PCT/RU2006/000302 RU2006000302W WO2007075114A1 WO 2007075114 A1 WO2007075114 A1 WO 2007075114A1 RU 2006000302 W RU2006000302 W RU 2006000302W WO 2007075114 A1 WO2007075114 A1 WO 2007075114A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- threaded
- groove
- holes
- bolt
- rings
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
- A61B17/62—Ring frames, i.e. devices extending around the bones to be positioned
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
- A61B17/66—Alignment, compression or distraction mechanisms
Definitions
- the invention relates to medicine, in particular to traumatology and orthopedics, and can be used in the treatment of patients with injuries and diseases of limb bones.
- a compression-distraction device which contains supports in the form of rings coaxially arranged separated relative to each other, one of which is internal with a ring gear on the outer end, and the other is external, with ears having holes, as well as rods, reposition units, fixators bones mounted on the inner rings, a removable key with a star-shaped head, a locking element and fastening elements (A.S. JVs 1132934 (USSR), publ. 07.01.85, bull. Sh).
- this device is also intended primarily to restore the length of limb segments, as well as to reposition fragments with small displacements during fractures. Due to design features, the device cannot be effectively used to eliminate complex multicomponent deformations. This is due to both the connection diagram of the supports and the design of the reposition units that do not provide a warning of the secondary displacement of fragments during reposition. In addition, to eliminate one type of displacement of fragments in the structure under consideration, it is necessary to perform several sequential or synchronous manipulations, which complicates the operation of the apparatus.
- the objective of the invention is to develop the design of a compression-distraction apparatus, providing simplification of its operation and
- the outer ring is made on the inner end with a groove under the ring gear, holes in the ears designed for threaded rods, but at least one of these holes communicates with a groove at the outer end - under the locking element
- the inner rings of the sector are provided at the ends with a comparable groove and protrusion with holes
- the outer ones are L-shaped and bent with comparable a rectangular groove on the outer recess for the threaded sleeve on the inside, coaxial with the bore of the sleeve on the end, and the latter has a fixing bracket provided at the ends with protrusions corresponding to the groove
- the sleeves at one end are provided with an external threaded thread, a sector recess and fixed in the ears of the outer rings by means of a washer with a sector protrusion corresponding to a recess at the end of the sleeve and nut;
- the sleeves at one end are provided with an internal threaded thread and fixed in the ears of the outer rings by means of a canalized bolt with a sector recess on the threaded leg and washers with a sector protrusion corresponding to the recess on the bolt leg;
- the slider of the reposition unit is detachable, contains a base with curly grooves made on the side faces and a removable bracket fixed thereon with holes for a threaded rod, provided with legs corresponding to the curly grooves in the base and holes for the mounting bolt.
- the compression-distraction apparatus is illustrated by the description and diagrams which depict:
- FIG. 1 compression-distraction apparatus, General view
- FIG. 2 connection diagram of the inner and outer support rings
- FIG. 3 is a connection diagram of sectors of the outer support ring
- FIG. 4 connection diagram of different-angle sectors during installation of open supports
- FIG. 5 is a threaded rod, a sleeve with a threaded thread at the end and a diagram of its attachment to the support;
- FIG. 6 is a threaded rod, a sleeve and a diagram of its attachment to the support using a canalized bolt;
- FIG. 8 is a diagram of the installation of an L-shaped slider
- FIG. 9 is an assembly diagram of a detachable L-shaped slider
- FIG. 10 is a diagram of the installation of the locking element.
- the compression-distraction apparatus (Fig. 1) contains supports 1 and 2, made in the form of detachable, coaxially mounted, with the possibility of displacement relative to each other, internal - 3, and external - 4 rings, consisting of
- Sectors 5 and 6 of the inner ring 3 are interconnected by means of comparable grooves 9 made at their ends and protrusions 10 with holes 1 1.
- the ends of the sectors 7 and 8 of the outer ring 4 are curved, made with rectangular grooves 12 — on the outer, comparable recess 13 for the threaded sleeve 14 - on the inner side and the groove 15 coaxial with the hole of the sleeve 14 for the fixing bolt - on the end, and connected using the fixing bracket 16 installed on them (FIG.
- the inner rings 3 are provided with a gear rim 21 at the outer end, and the outer rings 4 with a groove 22 for the gear rim 21 - along the inner end and the outer end - ears 23 with holes 24, at least one of which communicates with the groove 22.
- the supports 1 and 2 are interconnected by means of threaded rods 25, 26, 27, 28 and reposition units 29 and 30. Moreover, these threaded rods with the possibility of bias are placed in sleeves 31 ( Figure 5), having a side recess at one end 32 for the moving nut 33 and the threaded hole for the locking bolt 34 in contact with it, and on the other, the external threaded thread 35 and the sector recess 36, by which, using the washer 37 with the sector projection 38 corresponding to the recess 36, as well as the nut 39, is rigidly fixed in the holes 24 of the ears 23 of the outer rings 4 of the supports 1 and or 2. It is also envisaged that the fixed end of the sleeve 31 (Fig.
- sleeves 31 made at one end with an internal threaded thread 40, and sleeves having an external threaded thread 35 and a sector recess 36 at one end, when fastened in the holes 24 of the ears 23 of the intermediate support (Fig. 7) can be connected between each other at the respective ends by means of a washer 37 with a sector protrusion 38.
- the threaded rods 25, 26, 27, and 28 located in the sleeves 31 are fixed in pairs on parallel interacting with reposition nodes 29 and 30
- Each of the reposition units 29 and 30 is made in the form of a L-shaped slider 49 (Fig. 8), the housing of which is provided with holes for the threaded rods 45 and 46, protrusions 50 and holes 51 for the locking bolt 52 in the base of the housing, as well as the groove 53 - in the end part of the base. It is also envisaged that the slider 49 is made detachable (Fig. 9) and is provided with curly recesses 54 on the side faces of the base corresponding to the legs 55 of the removable bracket 56 with holes 57 for the threaded rods 45 and 46.
- the slider 49 is mounted in rectangular grooves 12 on the outer surface of the L-shaped bends of the corresponding ends of the sectors 7 and 8 of the outer rings 4 and secured by a locking bolt 52 and a fixing bolt 19 with a circular groove 20, passed through the groove 53, the mapped grooves 15 and inserted into In comparison recesses 13 threaded bushing 14.
- the sleeves 31, the threaded rods 45, 46 and the sliders 49 are provided with a metric scale 58, a degree scale 59 is applied to the end of the outer ring 4, and a reference mark 60 is applied to the surface of the channel bolt 41.
- the sleeves 31 are provided with longitudinal through grooves 61 and a reference mark 62 on the surface of the end fixed to the support (Fig. 1, 3, 5, 6, 8).
- the apparatus is equipped with a locking element (Figure 10), made in the form of a bolt 63 with a support pad 64 in the base of the head and teeth 65 located along the perimeter of the leg, and also the washer 66 with shoulder 67 around the perimeter of the hole and nut 68.
- a locking element ( Figure 10) made in the form of a bolt 63 with a support pad 64 in the base of the head and teeth 65 located along the perimeter of the leg, and also the washer 66 with shoulder 67 around the perimeter of the hole and nut 68.
- the bone retainers - spokes 69 and rods 70 - directly or indirectly, using brackets 71, are mounted on the inner rings 3 of the supports 1 and 2 by means of fixing bolts 72.
- Compression distraction apparatus is used as follows.
- the bone fixators are spokes 69 and rods 70, directly or indirectly,
- the supports 1 and 2 are interconnected by means of the fixed ends of the sectors 7, 8 of the outer rings 4 of one of them reposition units 29, 30 and located in the sleeves 31 of the threaded rods 25, 26, 27 and 28, fixed to the L-shaped bends.
- the end of one of the sleeves 31, for example, having an internal thread 40, into which the end of the sleeve 31 is equipped with an external thread, is screwed to the hole 24 of the eyelet 23 35 with a sector recess 36. having previously installed a washer 37 with a sector protrusion 38.
- the installation of the sleeves is adjusted according to the reference marks 60 and 62 of the sleeves 31 on the ends of the sleeves 31 with external threading, pouring the latter with the label of the degree scale 59 applied to the eye 23 of the outer ring 4.
- the threaded rods 25, 26, 27, and 28 located in the sleeves 31 are mounted in pairs on parallel threaded rods 45 and 46 that interact with the reposition units 29 and 30.
- the fastening is carried out using forks 47, pivotally connected to those mounted with the possibility of displacement on said rods bushings 48.
- the position of the rods 25, 26, 27 and 28 is fixed with a locking bolt 34 in contact with the moving nut 33 mounted on the rod and placed in the recesses 32 of the sleeves 31.
- the angular displacement of the supports, the rotation of the moving nuts 33 is carried out in different directions, performing the displacement of the rods, for example, 25 and 27 located in the projection of the concave side of the deformation in one direction and the rods, 26 and 28, respectively, installed in the projection of the convex side of the deformation in the opposite direction.
- the rotation of the moving nuts 33 is performed unidirectionally, but the rods 25 and 27 located on the concave side of the deformation are moved by a larger amount, and by a smaller value 26 and 28 located on the concave side from the convex side.
- a locking element For rotational displacement of the supports relative to each other, a locking element is used. To attenuate this mounting hole 24 installed in the eye 23 of the bolt 63 contacting the rim 65 and teeth 21. turning in the required direction carry out the rotation of the supports. Following this, screwing the end of the leg of the bolt 63 onto the protruding hole 24 protruding from the opposite side 24, install the washer 66, insert a flange 67 made along the perimeter of its hole into the hole 24 and stabilize the position of the rings 3 and 4 by tightening the fastening nut 75. By combining or changing the sequence of execution the above manipulations metered out eliminate any kind of displacement of fragments of fixed bones.
- Visual control of the mixing of the supports is carried out using metric and degree scales 58 and 59, respectively, on sleeves 31, rods 45, 46 and the ends of the outer rings 4, as well as longitudinal through grooves 61 on the sleeves 31;
- Using the device provides a simplification of its operation and expansion of functionality in the treatment of patients with shortened limb segments, combined with their multicomponent deformation. Due to the minimum number of parts that make up the unified layout, the installation time of the apparatus is significantly reduced for any type of deformation and displacement of bone fragments; manipulation is simplified, the accuracy of correction is increased; postoperative management of patients is facilitated, there is no need for periodic remounting of the apparatus. At the same time, these advantages provide the possibility of using the design of electronic-digital devices with special software for performing osteosynthesis in automatic mode.
Abstract
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/159,551 US20090177198A1 (en) | 2005-12-29 | 2006-06-13 | Compression-distraction device |
DE202006020487U DE202006020487U1 (de) | 2005-12-29 | 2006-06-13 | Kompressions-Distraktionsgerät |
EP06769543A EP1967149A4 (fr) | 2005-12-29 | 2006-06-13 | Compresseur-distracteur |
JP2008600036U JP3150204U (ja) | 2005-12-29 | 2006-06-13 | 圧縮伸長装置 |
CA002633944A CA2633944A1 (fr) | 2005-12-29 | 2006-06-13 | Dispositif a compression-distraction |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
RU2005141637/14A RU2357699C2 (ru) | 2005-12-29 | 2005-12-29 | Компрессионно-дистракционный аппарат |
RU2005141637 | 2005-12-29 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2007075114A1 true WO2007075114A1 (fr) | 2007-07-05 |
Family
ID=38218269
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/RU2006/000302 WO2007075114A1 (fr) | 2005-12-29 | 2006-06-13 | Compresseur-distracteur |
Country Status (8)
Country | Link |
---|---|
US (1) | US20090177198A1 (fr) |
EP (1) | EP1967149A4 (fr) |
JP (1) | JP3150204U (fr) |
CA (1) | CA2633944A1 (fr) |
DE (1) | DE202006020487U1 (fr) |
RU (1) | RU2357699C2 (fr) |
WO (1) | WO2007075114A1 (fr) |
ZA (1) | ZA200806011B (fr) |
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EP2110090A1 (fr) * | 2008-04-18 | 2009-10-21 | Stryker Trauma SA | Plaque de fixation orthopédique perméable aux rayons X |
CN103462674A (zh) * | 2013-09-17 | 2013-12-25 | 北京航空航天大学 | 一种可拆装式长骨复位机器人 |
US8834467B2 (en) | 2010-08-11 | 2014-09-16 | Stryker Trauma Sa | External fixator system |
US8945128B2 (en) | 2010-08-11 | 2015-02-03 | Stryker Trauma Sa | External fixator system |
CN104323839A (zh) * | 2014-10-24 | 2015-02-04 | 苏州仁捷瑞自动化科技有限公司 | 一种直筒式骨外固定器 |
US8951252B2 (en) | 2008-04-18 | 2015-02-10 | Stryker Trauma Sa | External fixation system |
US9101398B2 (en) | 2012-08-23 | 2015-08-11 | Stryker Trauma Sa | Bone transport external fixation frame |
US20160206349A1 (en) * | 2008-02-05 | 2016-07-21 | Texas Scottish Rite Hospital For Children | External fixator ring |
CN107669390A (zh) * | 2017-09-30 | 2018-02-09 | 张娜 | 一种能做手臂弯曲练习的手臂复健装置 |
WO2020072392A1 (fr) * | 2018-10-04 | 2020-04-09 | Peter Stevens | Fixateur torsionnel couplé et procédé d'utilisation |
US11141196B2 (en) | 2010-08-11 | 2021-10-12 | Stryker European Operations Holdings Llc | External fixator system |
RU2811957C1 (ru) * | 2023-01-22 | 2024-01-19 | Акшин Беюк Ага оглы Багиров | Способ коррекции варусной деформации ног с использованием чрескостного остеосинтеза |
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WO2009100459A1 (fr) | 2008-02-08 | 2009-08-13 | Texas Scottish Rite Hospital For Children | Étai de fixation externe |
ES2819625T3 (es) | 2008-02-12 | 2021-04-16 | Texas Scottish Rite Hospital For Children | Varilla de conexión para un dispositivo de fijación externa |
JP5529047B2 (ja) | 2008-02-18 | 2014-06-25 | テキサス スコティッシュ ライト ホスピタル フォー チルドレン | 創外固定支柱調整のツール及び方法 |
DE102009040307A1 (de) * | 2009-09-05 | 2011-03-10 | Arne Jansen | Vorrichtung zum Fixieren von Knochensegmenten |
US8858555B2 (en) | 2009-10-05 | 2014-10-14 | Stryker Trauma Sa | Dynamic external fixator and methods for use |
US8257353B2 (en) * | 2010-02-24 | 2012-09-04 | Wright Medical Technology, Inc. | Orthopedic external fixation device |
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US9907582B1 (en) | 2011-04-25 | 2018-03-06 | Nuvasive, Inc. | Minimally invasive spinal fixation system and related methods |
RU2480176C1 (ru) * | 2011-10-25 | 2013-04-27 | Федеральное государственное бюджетное учреждение "Российский ордена Трудового Красного Знамени научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена" Министерства здравоохранения и социального развития Российской Федерации (ФГБУ "РНИИТО им. Р.Р. Вредена" Минздравсоцразвития Ро | Способ коррекции формы голени с использованием чрескостного остеосинтеза и стержень-шуруп для его выполнения |
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CA2883395C (fr) * | 2012-09-06 | 2018-05-01 | Solana Surgical, Llc | Fixateur externe |
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US8574232B1 (en) | 2012-11-13 | 2013-11-05 | Texas Scottish Hospital for Children | External fixation connection rod for rapid and gradual adjustment |
US9039706B2 (en) | 2013-03-13 | 2015-05-26 | DePuy Synthes Products, Inc. | External bone fixation device |
EP3281592B1 (fr) * | 2013-03-13 | 2021-04-21 | DePuy Synthes Products, Inc. | Dispositif de fixation d'os externe |
RU2572302C2 (ru) * | 2013-07-05 | 2016-01-10 | Государственное бюджетное образовательное учреждение высшего профессионального образования "Дагестанская государственная медицинская академия" Министерства здравоохранения РФ | Устройство для репозиции костных отломков в аппарате илизарова |
CN104434282B (zh) * | 2013-09-13 | 2016-08-24 | 贝尔泰克医疗器械江苏有限公司 | 一种用于骨延长术的外固定支架 |
US9717528B2 (en) | 2014-04-01 | 2017-08-01 | Stryker European Holdings I, Llc | External fixator with Y strut |
WO2015149817A1 (fr) * | 2014-04-04 | 2015-10-08 | Товарищество С Ограниченной Ответственностью "Граника" | Appareil de compression-distraction de f. a. matsukatov et unité de réduction pour celui-ci |
CA2957495A1 (fr) * | 2014-08-14 | 2016-02-18 | Automobili Lamborghini S.P.A. | Dispositif de fixation orthopedique externe |
WO2016040491A2 (fr) | 2014-09-09 | 2016-03-17 | Integra Lifesciences Corporation | Système de fixation externe |
RU2572300C1 (ru) * | 2014-09-17 | 2016-01-10 | Государственное бюджетное образовательное учреждение высшего профессионального образования "Дагестанская государственная медицинская академия" Министерства здравоохранения РФ | Устройство для внеочагового остеосинтеза открытых переломов голени |
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CN110495937A (zh) * | 2018-05-18 | 2019-11-26 | 武汉德骼拜尔外科植入物有限公司 | 环形外固定支架和固定装置 |
CN108742804B (zh) * | 2018-06-05 | 2020-04-07 | 天津大学 | 一种用于骨折复位的并联外固定支架 |
CN109077786B (zh) * | 2018-08-03 | 2020-10-30 | 天津大学 | 全对称三支链并联外固定支架 |
CN109480980B (zh) * | 2019-01-05 | 2024-05-07 | 陈聚伍 | 多维柔性骨折复位装置 |
US11439436B2 (en) | 2019-03-18 | 2022-09-13 | Synthes Gmbh | Orthopedic fixation strut swapping |
US11304757B2 (en) | 2019-03-28 | 2022-04-19 | Synthes Gmbh | Orthopedic fixation control and visualization |
US11334997B2 (en) | 2020-04-03 | 2022-05-17 | Synthes Gmbh | Hinge detection for orthopedic fixation |
US11589900B2 (en) * | 2020-05-06 | 2023-02-28 | William MONTROSS | Modular frame |
CN111956313A (zh) * | 2020-08-14 | 2020-11-20 | 中国人民解放军联勤保障部队第九二0医院 | 手掌骨延长装置 |
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WO2003086211A1 (fr) * | 2002-04-12 | 2003-10-23 | Fu Han | Dispositif de fixation et de restitution externe d'osteoplastie |
-
2005
- 2005-12-29 RU RU2005141637/14A patent/RU2357699C2/ru active IP Right Revival
-
2006
- 2006-06-13 US US12/159,551 patent/US20090177198A1/en not_active Abandoned
- 2006-06-13 WO PCT/RU2006/000302 patent/WO2007075114A1/fr active Application Filing
- 2006-06-13 EP EP06769543A patent/EP1967149A4/fr not_active Withdrawn
- 2006-06-13 JP JP2008600036U patent/JP3150204U/ja not_active Expired - Fee Related
- 2006-06-13 DE DE202006020487U patent/DE202006020487U1/de not_active Expired - Lifetime
- 2006-06-13 CA CA002633944A patent/CA2633944A1/fr not_active Abandoned
-
2008
- 2008-07-10 ZA ZA200806011A patent/ZA200806011B/xx unknown
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See also references of EP1967149A4 * |
Cited By (28)
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CN107669390B (zh) * | 2017-09-30 | 2020-02-14 | 吉林大学 | 一种能做手臂弯曲练习的手臂复健装置 |
WO2020072392A1 (fr) * | 2018-10-04 | 2020-04-09 | Peter Stevens | Fixateur torsionnel couplé et procédé d'utilisation |
US11272957B2 (en) | 2018-10-04 | 2022-03-15 | University Of Utah Research Foundation | Coupled torsional fixator and method of use |
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Also Published As
Publication number | Publication date |
---|---|
ZA200806011B (en) | 2009-10-28 |
JP3150204U (ja) | 2009-05-07 |
RU2005141637A (ru) | 2007-07-10 |
DE202006020487U1 (de) | 2008-10-02 |
EP1967149A1 (fr) | 2008-09-10 |
US20090177198A1 (en) | 2009-07-09 |
EP1967149A4 (fr) | 2010-05-05 |
CA2633944A1 (fr) | 2007-07-05 |
RU2357699C2 (ru) | 2009-06-10 |
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